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General NPI Number Information
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NPI Number | 1295152577
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Entity Type | Individual
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Provider Name | STEPHANIE MARIESA COLEMAN-SMITH CRNA
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Gender | Female
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 700 SCOTT AND WHITE DR
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City | COLLEGE STATION
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State | TX
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Zip | 77845-6441
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Country | US
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Telephone | 979-207-0100
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Fax | 979-207-2161
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 800-994-0371
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Fax | 254-215-9722
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 878746
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4704422894
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP126046
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 93301
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4042455
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License Number State | KY
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